| Wellspring Counseling, Llc | |
|
2534 Farragut Dr Ste 2 Springfield IL 62704 | |
| (217) 953-4660 | |
| (888) 972-6419 |
| Full Name | Wellspring Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2534 Farragut Dr Ste 2, Springfield, Illinois |
| Authorized Official Name and Position | Neil C Headman (OWNER) |
| Authorized Official Contact | 2179534660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling, Llc 2050 W Iles Ave Suite F Springfield IL 62704-4181 Ph: (217) 494-7546 | Wellspring Counseling, Llc 2534 Farragut Dr Ste 2 Springfield IL 62704 Ph: (217) 953-4660 |
| NPI Number | 1568892875 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568892875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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